SCOTT BANNING

TIDEWATER PHYSICIANS MULTISPECIALTY GROUP, PC

Dr SCOTT BANNING is a male medical professional, specializing in Family Medicine. He graduated in 1991.

Contact

TIDEWATER PHYSICIANS MULTISPECIALTY GROUP, PC

12655 WARWICK BLVD A
NEWPORT NEWS
VA
236062501

Tel: 7575959880

SCOTT BANNING Information

Npi 1487659801
Pac Id 5890780712
Professional Enrollment Id I20100928001689
Last Name BANNING
First Name SCOTT
Middle Name
Suffix
Gender M
Credential
Medical School Name OTHER
Graduation Year 1991
Primary Specialty FAMILY MEDICINE
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
All Secondary Specialties
Organization Legal Name TIDEWATER PHYSICIANS MULTISPECIALTY GROUP, PC
Group Practice Pac Id 2860398526
Number Of Group Practice Members 228
Line 1 Street Address 12655 WARWICK BLVD A
Line 2 Street Address
Marker Of Address Line 2 Suppression
City NEWPORT NEWS
State VA
Zip Code 236062501
Phone Number 7575959880
Hospital Affiliation Ccn 1 490052
Hospital Affiliation Lbn 1 RIVERSIDE REGIONAL MEDICAL CENTER
Hospital Affiliation Ccn 2 490093
Hospital Affiliation Lbn 2 SENTARA CAREPLEX HOSPITAL
Hospital Affiliation Ccn 3
Hospital Affiliation Lbn 3
Hospital Affiliation Ccn 4
Hospital Affiliation Lbn 4
Hospital Affiliation Ccn 5
Hospital Affiliation Lbn 5
Professional Accepts Medicare Assignment Y

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